| NPI | 1093971921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: UT 9454249-2401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 2170) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2016-02-02 |